Validación de contenido del diagnóstico de enfermería “red de apoyo social inadecuada”

França, Michelline Santos de; Pontes, Cleide Maria; Lopes, Marcos Venícios de Oliveira; Mendes, Ryanne Carolynne Marques Gomes; Perrelli, Jaqueline Galdino Albuquerque; Morais, Sheila Coelho Ramalho Vasconcelos; Linhares, Francisca Márcia Pereira

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Revista da Escola de Enfermagem da USP

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Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 57 • 2023 • https://doi.org/10.1590/1980-220X-REEUSP-2023-0250en copiar

Validación de contenido del diagnóstico de enfermería “red de apoyo social inadecuada”

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Evaluar las evidencias de la validez de contenido del diagnóstico de enfermería “red de apoyo social inadecuada”.

Método:

Estudio metodológico de tipo validación de contenido, realizado con 23 jueces que evaluaron la adecuación del título, definición, clase y dominio del diagnóstico de enfermería “red de apoyo social inadecuada”. Los jueces también evaluaron la pertinencia de 28 indicadores clínicos y 32 factores etiológicos, que se consideraron válidos cuando el Índice de Validez de Contenido fue ≥ 0.9.

Resultados:

Los jueces estuvieron de acuerdo con el título propuesto y sugirieron cambios en la definición del diagnóstico de enfermería. Recomendaron su inclusión en el Dominio 7 - “Roles y relaciones” y en la Clase 3 - “Desempeño de roles” de la taxonomía NANDA-I. Además, se consideraron relevantes 19 indicadores clínicos y 27 factores etiológicos.

Conclusión:

El diagnóstico de enfermería “red de apoyo social inadecuada” tuvo su estructura teórica validada en términos de contenido, lo que puede apoyar la práctica del personal de enfermería en la operacionalización del Proceso de Enfermería.

DESCRIPTORES
Apoyo Social; Diagnóstico de Enfermería; Estudio de Validación; Red Social; Proceso de Enfermería

Definition	n = 23	%
Definition 1 – Network of interpersonal contacts and organizational systems unable to mobilize to provide the necessary support.	7	30.4
Definition 2 – Inability of network members to establish social interactions that generate support for meeting the needs of the person, family and community.	13	56.5
Definition 3 – Inability of network members to establish social interactions that provide support.	3	13.0
Total	23	100

Clinical Indicators	Shapiro-Wilk test		CVI
Clinical Indicators	W	p-value	Median	CI 95%
Feeling abandoned	0.33	<0.001	1.00	1.00	1.00
Decreased emotional support	0.45	<0.001	1.00	1.00	1.00
Inadequate information support	0.27	<0.001	1.00	1.00	1.00
Lack of instrumental support from health services	0.24	<0.001	1.00	1.00	1.00
Imposition of appropriate behavior	0.62	<0.001	1.00	0.75	1.00
Support offered different from that expected	0.46	<0.001	1.00	1.00	1.00
Fragile bonds	0.39	<0.001	1.00	1.00	1.00
Negative social interactions	0.45	<0.001	1.00	1.00	1.00
Prejudice	0.44	<0.001	1.00	1.00	1.00
Neglect of demands for support	0.45	<0.001	1.00	1.00	1.00
Encouragement of negative behavior	0.45	<0.001	1.00	1.00	1.00
Underestimation of the person’s self-efficacy	0.56	<0.001	1.00	0.88	1.00
Blaming attitudes	0.42	<0.001	1.00	1.00	1.00
Invasion of privacy	0.46	<0.001	1.00	1.00	1.00
Loss of confidentiality	0.33	<0.001	1.00	1.00	1.00
Overburdening the main caregiver	0.34	<0.001	1.00	1.00	1.00
Unwillingness to offer social support	0.53	<0.001	1.00	0.87	1.00
Devaluation of the social support received	0.47	<0.001	1.00	1.00	1.00
Low reciprocity	0.58	<0.001	1.00	0.63	1.00
Low situational self-esteem	0.6	<0.001	0.88	0.88	1.00
Conditioned support	0.65	<0.001	0.88	0.87	1.00
Scarcity of possible sources of social support	0.6	<0.001	0.88	0.87	1.00
Too many insignificant interpersonal contacts	0.63	<0.001	0.88	0.75	1.00
Little social support	0.66	<0.001	0.87	0.75	1.00
Perception that the person’s problem is normal	0.68	<0.001	0.75	0.75	1.00
Excess of information and interaction of the social network	0.65	<0.001	0.75	0.75	1.00
Lack of material goods	0.68	<0.001	0.63	0.5	0.88
Depression	0.74	<0.001	0.5	0.5	0.5
ALL CI	0.79	<0.001	0.75	0.75	0.87

Etiological factors	Shapiro-Wilk test		CVI
Etiological factors	W	p-value	Median	CI 95%
Low social network density	0.3	<0.001	1.00	1.00	1.00
Smaller social network	0.49	<0.001	1.00	1.00	1.00
Insufficient commitment from health professionals	0.33	<0.001	1.00	1.00	1.00
Impersonal relations between health professional and patient	0.51	<0.001	1.00	0.88	1.00
Intrusive practices by health professionals	0.53	<0.001	1.00	0.88	1.00
Weak organization of institutional services into a network	0.38	<0.001	1.00	1.00	1.00
Shortage of health professionals	0.49	<0.001	1.00	0.88	1.00
Difficulties in geographical access to secondary social network services	0.41	<0.001	1.00	1.00	1.00
Excessive demand for support	0.26	<0.001	1.00	1.00	1.00
Fear of the person seeking support	0.42	<0.001	1.00	1.00	1.00
Mistrust of the other person’s competence	0.5	<0.001	1.00	1.00	1.00
Lack of sociability	0.22	<0.001	1.00	1.00	1.00
Refusal of support	0.22	<0.001	1.00	1.00	1.00
Unable to access the secondary social network services	0.45	<0.001	1.00	1.00	1.00
Social isolation	0.42	<0.001	1.00	1.00	1.00
Moving house	0.38	<0.001	1.00	1.00	1.00
Cultural differences	0.22	<0.001	1.00	1.00	1.00
Centralization of responsibility for care	0.38	<0.001	1.00	1.00	1.00
Restriction of the role of a member of the social network	0.33	<0.001	1.00	1.00	1.00
Disregard for the role of supporter	0.55	<0.001	1.00	0.88	1.00
Lack of strong ties	0.42	<0.001	1.00	1.00	1.00
Broken ties	0.26	<0.001	1.00	1.00	1.00
Dependency-generating ties	0.34	<0.001	1.00	1.00	1.00
Lack of recognition of the support offered	0.41	<0.001	1.00	1.00	1.00
Lack of reciprocity for the support received	0.34	<0.001	1.00	1.00	1.00
Unwillingness to support	0.55	<0.001	1.00	0.88	1.00
Lack of theoretical and practical knowledge about the person’s needs	0.49	<0.001	1.00	0.88	1.00
Larger social network	0.65	<0.001	0.88	0.75	1.00
Mental health problems	0.61	<0.001	0.88	0.63	1.00
Consumption of the person’s resources	0.6	<0.001	0.88	0.75	1.00
Unexpected events	0.63	<0.001	0.88	0.75	1.00
High degree of complexity in organizations	0.73	<0.001	0.75	0.50	0.87
ALL EF	0.73	<0.001	0.87	0.87	0.88

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Michelline Santos de França R. Jaguaribe, s/n, Timbó 53510-520 – Abreu e Lima, PE, Brazil michelline.franca@abreuelima.ifpe.edu.br